OrganizationActive
Black Canyon Community Health Center
NPI 1992438642 · Federally Qualified Health Center (FQHC) · Black Canyon City, AZ
Provider details
- NPI number
- 1992438642
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randy Hancock, Ceo(623) 374-0200
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Practice location
19251 E Oasis Dr
Black Canyon City, AZ 85324-8878
Phone: (623) 374-0200
Fax: (623) 374-5576
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1958
Black Canyon City, AZ 85324-1958
Registry dates
- Enumerated
- 2022-07-08
- Last updated
- 2022-12-16
- Certified
- 2022-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.